| Main Street Family Dental | |
|
715 Main Street Agawam MA 01001-2540 | |
| (413) 530-2677 | |
| Not Available |
| Full Name | Main Street Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 715 Main Street, Agawam, Massachusetts |
| Authorized Official Name and Position | Samuel Lu (DIRECTOR) |
| Authorized Official Contact | 4135302677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Dental 715 Main Street Agawam MA 01001-2540 Ph: (413) 530-2677 | Main Street Family Dental 715 Main Street Agawam MA 01001-2540 Ph: (413) 530-2677 |
| NPI Number | 1528849791 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528849791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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