Organization
FAIRVIEW DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK GRIFFIN DDS (MANAGER)
(413) 533-6460
Entity
Organization
Contact information
Practice address
1682 MEMORIAL DRIVE, CHICOPEE, MA 01020
(413) 533-6460
(413) 533-7034
Mailing address
1682 MEMORIAL DRIVE, CHICOPEE, MA 01020
(413) 533-6460
(413) 533-7034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17057
MA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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