| NPI | 1669960027 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF SPRINGFIELD |
| Entity Type | Organization |
| Authorized Contact | LISA J CHOINIERE Billing Manager 508-460-0632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 1857191) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |