Park Square Dental Pc | |
60 Court St Westfield MA 01085-3509 | |
(908) 955-3699 | |
Not Available |
Full Name | Park Square Dental Pc |
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Speciality | Dentist - General Practice |
Location | 60 Court St, Westfield, Massachusetts |
Authorized Official Name and Position | Sushma Reddy Donthi Reddy (PRESIDENT) |
Authorized Official Contact | 9089553699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Park Square Dental Pc 60 Court St Westfield MA 01085 Ph: () - | Park Square Dental Pc 60 Court St Westfield MA 01085-3509 Ph: (908) 955-3699 |
NPI Number | 1740636828 |
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Provider Enumeration Date | 05/09/2016 |
Last Update Date | 05/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740636828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN1855451 (Massachusetts) | Primary |
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