Organization
CORNERSTONE KIDS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LYNN SADY (OFFICE MANAGER)
(413) 786-0077
Entity
Organization
Contact information
Practice address
332 SUFFIELD SREET, AGAWAM, MA 01001
(413) 786-0077
Mailing address
332 SUFFIELD SREET, AGAWAM, MA 01001
(413) 786-0077
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1857118
MA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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