Individual
TAYLER M FERRACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2200
Mailing address
13 AVON STREET EXT, ENFIELD, CT 06082-4536
(860) 559-4000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH90091
MA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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