Organization
DR DENTAL OF MASSACHUSETTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA CHAMPAGNE (ACCOUNT MANAGER)
(508) 620-4563
Entity
Organization
Contact information
Practice address
1101 BOSTON ROAD, SPRINGFIELD, MA 01119
(508) 620-4563
Mailing address
945 CONCORD ST SUITE 230, FRAMINGHAM, MA 01701
(508) 620-4563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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