| Our Dentist | |
|
747 Memorial Dr. Chicopee MA 01020 | |
| (413) 592-7700 | |
| Not Available |
| Full Name | Our Dentist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 747 Memorial Dr., Chicopee, Massachusetts |
| Authorized Official Name and Position | Mitesh Brahmbhatt (PRESIDENT) |
| Authorized Official Contact | 6177774795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Dentist 305 Dutton St Apt # 326 Lowell MA 01854-4263 Ph: () - | Our Dentist 747 Memorial Dr. Chicopee MA 01020 Ph: (413) 592-7700 |
| NPI Number | 1326273558 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326273558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN22114 (Massachusetts) | Primary |
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