Organization
NINE WEST MAIN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE HODGERNEY (OPERATIONNS MANAGER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
9 W MAIN ST, WEST BROOKFIELD, MA 01585-2823
(508) 589-8270
Mailing address
9 W MAIN ST, WEST BROOKFIELD, MA 01585-2823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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