Organization
KRAY PC
Active
Other names
Northgate Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITHA SATHYA DMD (DENTIST)
(617) 513-4321
Entity
Organization
Contact information
Practice address
1985 MAIN ST, SPRINGFIELD, MA 01103-1095
(617) 513-4321
Mailing address
1985 MAIN ST, SPRINGFIELD, MA 01103-1095
(617) 513-4321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856292
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114366705
—
MA
Enumeration date
02/16/2018
Last updated
02/16/2018
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