Maple Street Dental Pllc | |
813 Williams St Ste 207 Longmeadow MA 01106-2052 | |
(413) 567-1223 | |
Not Available |
Full Name | Maple Street Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 813 Williams St Ste 207, Longmeadow, Massachusetts |
Authorized Official Name and Position | Seth Eichenlaub (PRESIDENT) |
Authorized Official Contact | 6175152949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maple Street Dental Pllc 5 Campus Ln Easthampton MA 01027-1429 Ph: (617) 515-2949 | Maple Street Dental Pllc 813 Williams St Ste 207 Longmeadow MA 01106-2052 Ph: (413) 567-1223 |
NPI Number | 1982362638 |
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Provider Enumeration Date | 11/30/2021 |
Last Update Date | 11/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982362638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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