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Wilbraham Dental Associates, LLC

Dentist, General Practice in Wilbraham, MA. Organization (NPI-2).

NPI number1982150025
StatusActive
Last updated in NPPESAug 29, 2016

Details

NPI
1982150025
Entity type
Organization (NPI-2)
Legal business name
Wilbraham Dental Associates, LLC
Organization subpart
No
Enumeration date
Aug 29, 2016
Last updated
Aug 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice21246MAYes

Practice location

70 Post Office Park
Wilbraham, MA 01095-1290

Phone 413-279-2016

Mailing address

70 Post Office Park
Wilbraham, MA 01095-1290

Phone 413-279-2016

Authorized official

Christopher James Root
Dentist/Owner
4132792016

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Other General Practice Dentistry providers in Wilbraham, MA

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