Organization
DR SUNIT JAIN INC
Active
Other names
State Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIT JAIN (OWNER)
(716) 939-4818
Entity
Organization
Contact information
Practice address
950 STATE ST, SPRINGFIELD, MA 01109-3145
(716) 939-4818
Mailing address
25 BREAKNECK HILL RD, SOUTHBOROUGH, MA 01772-1806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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