Main Street Family Dental | |
715 Main Street Agawam MA 01001-2540 | |
(413) 530-2677 | |
Not Available |
Full Name | Main Street Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 715 Main Street, Agawam, Massachusetts |
Authorized Official Name and Position | Samuel Lu (DIRECTOR) |
Authorized Official Contact | 4135302677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Main Street Family Dental 715 Main Street Agawam MA 01001-2540 Ph: (413) 530-2677 | Main Street Family Dental 715 Main Street Agawam MA 01001-2540 Ph: (413) 530-2677 |
NPI Number | 1528849791 |
---|---|
Provider Enumeration Date | 10/12/2023 |
Last Update Date | 10/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528849791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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