Organization
ADVANCE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYAKI CHIRUMAMILLA DMD (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
1795 MAIN ST, 206, SPRINGFIELD, MA 01103-1077
(413) 733-6576
Mailing address
1795 MAIN ST, 206, SPRINGFIELD, MA 01103-1077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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