| Memorial Drive Dental Associates Pc | |
|
1176 Memorial Drive Chicopee MA 01020-3960 | |
| (413) 593-5772 | |
| (413) 593-5199 |
| Full Name | Memorial Drive Dental Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1176 Memorial Drive, Chicopee, Massachusetts |
| Authorized Official Name and Position | Timothy J Rusiecki (PRESIDENT) |
| Authorized Official Contact | 4135935772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Drive Dental Associates Pc 1176 Memorial Drive Chicopee MA 01020-3960 Ph: (413) 593-5772 | Memorial Drive Dental Associates Pc 1176 Memorial Drive Chicopee MA 01020-3960 Ph: (413) 593-5772 |
| NPI Number | 1811083355 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811083355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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