| Dental Studio Associates, Llc | |
|
302 Suffield St Agawam MA 01001-1749 | |
| (413) 786-0085 | |
| (413) 786-0025 |
| Full Name | Dental Studio Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 Suffield St, Agawam, Massachusetts |
| Authorized Official Name and Position | Jennifer Lynn Boutet (OFFICE MANAGER) |
| Authorized Official Contact | 4137860085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Studio Associates, Llc 302 Suffield St Agawam MA 01001-1749 Ph: (413) 786-0085 | Dental Studio Associates, Llc 302 Suffield St Agawam MA 01001-1749 Ph: (413) 786-0085 |
| NPI Number | 1093871469 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093871469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20289 (Massachusetts) | Primary |
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