Organization
HADLEY DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAPAN PUJARA DDS (OWNER DENTIST)
(201) 888-6135
Entity
Organization
Contact information
Practice address
1 MILL VALLEY RD STE D, HADLEY, MA 01035-5918
(201) 888-6135
Mailing address
1 MILL VALLEY RD STE D, HADLEY, MA 01035-5918
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356736227
—
MA
Enumeration date
06/03/2019
Last updated
06/11/2019
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