| Vanguard Dental LLC | |
|
1730 Boston Rd Springfield MA 01129-1175 | |
| (413) 543-2575 | |
| Not Available |
| Full Name | Vanguard Dental LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1730 Boston Rd, Springfield, Massachusetts |
| Authorized Official Name and Position | Yogita S Kanorwalla (OWNER) |
| Authorized Official Contact | 5082215655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Dental LLC 15 Horseshoe Ln Wilbraham MA 01095-1315 Ph: (508) 221-5655 | Vanguard Dental LLC 1730 Boston Rd Springfield MA 01129-1175 Ph: (413) 543-2575 |
| NPI Number | 1376830661 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376830661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20652 (Massachusetts) | Primary |
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