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1326170861
WILLIAM MALAVE-VIDAL
SPRINGFIELD, MA
NPI
1326170861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA 18100)
Enumeration Date
2007-03-11
Last Update Date
2007-07-08
Business Address
-- WILLIAM MALAVE-VIDAL DMD
1985 MAIN ST
SPRINGFIELD, MA 01103-1095
Phone number: 413-747-0400
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Mailing Address
-- WILLIAM MALAVE-VIDAL DMD
PO BOX 2218
SPRINGFIELD, MA 01101-2218
Phone number: 413-747-0400
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