Individual
MR. RENZO SALVATORE VENTRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2200
Mailing address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1144
MA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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