Organization
CHICOPEE FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M CORMIER (OFFICE MANAGER)
(413) 592-2177
Entity
Organization
Contact information
Practice address
30 SAINT JAMES AVE, CHICOPEE, MA 01020-2453
(413) 592-2177
(413) 592-3278
Mailing address
30 SAINT JAMES AVE, CHICOPEE, MA 01020-2453
(413) 592-2177
(413) 592-3278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19743
MA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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