Individual
NELIDA REGINA ROCHA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
(413) 304-4670
Mailing address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(754) 201-8406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL100413
MA
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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