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Organization

ALLIANCE DENTAL CARE OF EAST LONGMEADOW LLC

Active
Other names
Dental Care Alliance
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization

Contact information

Practice address
265A BENTON DR, EAST LONGMEADOW, MA 01028-3235
(413) 224-8590
Mailing address
265A BENTON DR, EAST LONGMEADOW, MA 01028-3235
(413) 224-8590

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
05/16/2023
Last updated
05/16/2023
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