Matthews Pcc Llc | |
1984 Boston Rd Wilbraham MA 01095-1046 | |
(413) 737-2200 | |
Not Available |
Full Name | Matthews Pcc Llc |
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Speciality | Clinic/center - Dental |
Location | 1984 Boston Rd, Wilbraham, Massachusetts |
Authorized Official Name and Position | Robert Matthews (OWNER) |
Authorized Official Contact | 4137372200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Matthews Pcc Llc 68 Bairdcrest Rd Springfield MA 01118-1757 Ph: (413) 783-3621 | Matthews Pcc Llc 1984 Boston Rd Wilbraham MA 01095-1046 Ph: (413) 737-2200 |
NPI Number | 1275912339 |
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Provider Enumeration Date | 05/22/2015 |
Last Update Date | 05/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275912339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN1856880 (Massachusetts) | Primary |
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