Provider First Line Business Practice Location Address:
CHP DENTAL MOBILE UNIT
Provider Second Line Business Practice Location Address:
444 STOCKBRIDGE ROAD.
Provider Business Practice Location Address City Name:
GT BARRINGTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-528-9311
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2023