Gary R. Archambault, D.M.D., P.C.
Dentist, General Practice in West Springfield, MA. Organization (NPI-2).
NPI number1225201627
StatusActive
Last updated in NPPESApr 7, 2008
Details
- NPI
- 1225201627
- Entity type
- Organization (NPI-2)
- Legal business name
- Gary R. Archambault, D.M.D., P.C.
- Organization subpart
- No
- Enumeration date
- Apr 7, 2008
- Last updated
- Apr 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14342 | MA | Yes |
Practice location
1284 Elm StSuite 1
West Springfield, MA 01089-1847
Phone 413-737-6387 · Fax 413-746-4151
Mailing address
1284 Elm StSuite 1
West Springfield, MA 01089-1847
Phone 413-737-6387 · Fax 413-746-4151
Authorized official
Gary R Archambault
Dentist/Owner
4137376387
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