Individual
MARIA J HOME-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
302 SUFFIELD ST, AGAWAM, MA 01001-1749
(413) 786-0085
Mailing address
598 BIRCHWOOD RD, LINDEN, NJ 07036-5813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000870
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2024
Last updated
06/16/2025
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