THE LOOSE TOOTH
Managed Care Organizations at Prospect St, Chicopee, MA

License number
Massachusetts DH11413
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MRS. JENNIFER HAUSCHILD RDH, PHDH
Title: OWNER, OPPERATOR
Phone: (413) 888-6767
Address
Address
874 Prospect St, Chicopee, MA 01020
National Provider ID: 1750689576
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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The Loose Tooth LLC

874 Prospect St, Chicopee, MA 01020

Industry:
Nonclassifiable Establishments
Dental Hygienist, Owner, Principal:
Jennifer Hauschild (Dental Hygienist, Owner, Principal)

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