Laura Gramse, Dmd Pc | |
2194 Wilbraham Rd Springfield MA 01129-1810 | |
(413) 783-6907 | |
Not Available |
Full Name | Laura Gramse, Dmd Pc |
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Speciality | Dentist |
Location | 2194 Wilbraham Rd, Springfield, Massachusetts |
Authorized Official Name and Position | Laura Gramse (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 4137836907 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laura Gramse, Dmd Pc 2194 Wilbraham Rd Springfield MA 01129-1810 Ph: () - | Laura Gramse, Dmd Pc 2194 Wilbraham Rd Springfield MA 01129-1810 Ph: (413) 783-6907 |
NPI Number | 1902357049 |
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Provider Enumeration Date | 10/24/2016 |
Last Update Date | 10/24/2016 |
Medicare PECOS PAC ID | 5698050821 |
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Medicare Enrollment ID | O20170330000365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902357049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN18803 (Massachusetts) | Primary |
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