Organization
VANGUARD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOGITA S KANORWALLA DMD (OWNER)
(508) 221-5655
Entity
Organization
Contact information
Practice address
1730 BOSTON RD, SPRINGFIELD, MA 01129-1175
(413) 543-2575
Mailing address
15 HORSESHOE LN, WILBRAHAM, MA 01095-1315
(508) 221-5655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20652
MA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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