| Cornerstone Kids Dentistry | |
|
332 Suffield Sreet Agawam MA 01001 | |
| (413) 786-0077 | |
| Not Available |
| Full Name | Cornerstone Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 332 Suffield Sreet, Agawam, Massachusetts |
| Authorized Official Name and Position | Jennifer Lynn Sady (OFFICE MANAGER) |
| Authorized Official Contact | 4137860077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Kids Dentistry 332 Suffield Sreet Agawam MA 01001 Ph: (413) 786-0077 | Cornerstone Kids Dentistry 332 Suffield Sreet Agawam MA 01001 Ph: (413) 786-0077 |
| NPI Number | 1568813293 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568813293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN1857118 (Massachusetts) | Primary |
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