Organization
CHICOPEE FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR BASH DMD (DENTIST /PRESIDENT)
(781) 526-5042
Entity
Organization
Contact information
Practice address
30 SAINT JAMES AVE, CHICOPEE, MA 01020-2453
(413) 592-2177
(413) 592-3278
Mailing address
30 SAINT JAMES AVE, CHICOPEE, MA 01020-2453
(413) 592-2177
(413) 592-3278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21135
MA
Other
Enumeration date
03/29/2009
Last updated
03/29/2009
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