| Provider Type: | Dental Providers |
| Provider Classification: | Dentist |
| Provider Specialization: | General Practice |
| Definition of Specialization: | |
| Address: |
1235 Sumner Ave Springfield, MA 01118-2160 |
| Phone: | (413) 782-5159 |
| Fax: | (413) 783-7094 |
| Authorized Official: | Dr. Lopez, Marcus Anthony, DMD |
| Authorized Official Position: | Vice President |
| Authorized Official Phone: | (413) 782-5159 |
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