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16 Gerrard Ave E Longmeadow MA 01028-1606 | |
(413) 731-8800 | |
(413) 731-8815 |
Full Name | |
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Speciality | Dentist - Prosthodontics |
Location | 16 Gerrard Ave, E Longmeadow, Massachusetts |
Authorized Official Name and Position | Vincent James Mariano (OWNER) |
Authorized Official Contact | 4137318800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16 Gerrard Ave E Longmeadow MA 01028-1606 Ph: (413) 731-8800 | 16 Gerrard Ave E Longmeadow MA 01028-1606 Ph: (413) 731-8800 |
NPI Number | 1841358553 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
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1841358553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |