Individual
LUZIA GRACE GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
91 E MOUNTAIN RD, WESTFIELD, MA 01085-1801
(413) 562-4131
Mailing address
43 WATSON LN, LUDLOW, MA 01056-1750
(413) 610-0159
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11898
MA
Other
Enumeration date
08/16/2007
Last updated
10/22/2007
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