Individual
MIGUEL I OSTOS RAYBAUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 NORTH ST STE 1, PITTSFIELD, MA 01201-4111
(413) 447-2351
Mailing address
2915 N 34TH TER, HOLLYWOOD, FL 33021-8405
(786) 414-0810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15661
MA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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