Individual
DR. FELICIA BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7 HADLEY ST STE 9, SOUTH HADLEY, MA 01075-1058
(413) 538-7546
Mailing address
113 GULF RD, BELCHERTOWN, MA 01007-9353
(413) 262-9534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858045
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2018
Last updated
10/30/2020
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