Organization
ROBERT G. RAFFERTY, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G RAFFERTY DMD (OWNER)
(413) 534-5144
Entity
Organization
Contact information
Practice address
41 DALE ST, CHICOPEE, MA 01020-1249
(413) 534-5144
(413) 538-5508
Mailing address
41 DALE ST, CHICOPEE, MA 01020-1249
(413) 534-5144
(413) 538-5508
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9550
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230529
—
MA
Enumeration date
04/03/2008
Last updated
04/03/2008
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