Organization
CHILDRENS DENTISTRY AND ORTHODONTICS OF CHICOPEE 2 LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
747 MEMORIAL DR, CHICOPEE, MA 01020-5022
(413) 593-3700
Mailing address
747 MEMORIAL DR, CHICOPEE, MA 01020-5022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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