Organization
JEROME M. AZIA D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME MORRIS AZIA D.D.S. (PRESIDENT)
(413) 569-3170
Entity
Organization
Contact information
Practice address
627 COLLEGE HWY, SOUTHWICK, MA 01077-9433
(413) 569-3170
(413) 569-3170
Mailing address
PO BOX 34, SOUTHWICK, MA 01077-0034
(413) 569-3170
(413) 569-3170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12383
MA
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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