Luis Alberto Mogollon
Luis Alberto Mogollon is a General Practice Dentistry in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.
- Licensed in
- MA
- In the registry since
- 2023
Practice location Address checks out
1049 Main StSpringfield, MA 01103-2114
Phone: (413) 739-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DL15634 (MA) |
|---|
Record details
| NPI number | 1962282756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 29, 2023 |
| Last updated in NPPES | September 29, 2023 |
| Certification date | September 29, 2023 |
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