Most Relevant Information
Provider Data
| NPI Number: | 1003805441 |
| Provider Name: | PETER ANTONOPOULOS D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 17013 |
Most Important Dates
| Enumeration Date: | 10/18/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1655 BOSTON RD
SUITE 168, VALLEY DENTAL ASSOCIATES
SPRINGFIELD
MA
011291148
Practice Location Phone/Fax
| Phone: | 4135432101 |
| Fax: |
Provider Mailing Location
1655 BOSTON RD
SUITE 168, VALLEY DENTAL ASSOCIATES
SPRINGFIELD
MA
011291148
Provider Mailing Phone/Fax
| Phone: | 4135432101 |
| Fax: |