Individual
MRS. ALEXANDRA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
(413) 420-2200
Mailing address
216 FALMOUTH RD, WEST SPRINGFIELD, MA 01089-2117
(413) 433-8236
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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