Individual
DR. JONATHAN DAVID TRECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1235 SUMNER AVE, SPRINGFIELD, MA 01118-2160
(413) 782-5159
(413) 783-7094
Mailing address
1235 SUMNER AVE, SPRINGFIELD, MA 01118-2160
(413) 782-5159
(413) 783-7094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18981
MA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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