Organization
SPRINGFIELD DENTISTRY AND BRACES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE TAVANO (CHIEF OPERATING OFFICER)
(978) 580-1524
Entity
Organization
Contact information
Practice address
405 ARMORY ST, SPRINGFIELD, MA 01104-2305
(508) 460-0632
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 460-0632
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
MA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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