Organization
BALTAZAR DENTAL LLC
Active
Other names
Baltazar Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA BALTAZAR DDS (OWNER)
(413) 538-7546
Entity
Organization
Contact information
Practice address
7 HADLEY ST STE 9, SOUTH HADLEY, MA 01075-1058
(413) 538-7546
Mailing address
113 GULF RD, BELCHERTOWN, MA 01007-9353
(413) 262-9534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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