Individual
DR. MALAV BAKULESH TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1795 MAIN ST STE 116, SPRINGFIELD, MA 01103-1078
(919) 961-8668
Mailing address
1795 MAIN ST STE 116, SPRINGFIELD, MA 01103-1078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856377
MA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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