Vanguard Dental LLC
Dentist, General Practice in Springfield, MA. Organization (NPI-2).
NPI number1376830661
StatusActive
Last updated in NPPESJul 7, 2011
Details
- NPI
- 1376830661
- Entity type
- Organization (NPI-2)
- Legal business name
- Vanguard Dental LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2011
- Last updated
- Jul 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN20652 | MA | Yes |
Practice location
1730 Boston RdSpringfield, MA 01129-1175
Phone 413-543-2575
Mailing address
15 Horseshoe LnWilbraham, MA 01095-1315
Phone 508-221-5655
Authorized official
Yogita S Kanorwalla
Owner
5082215655
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