Organization
WILBRAHAM ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MARGOLIS DDS, PHD (PRESIDENT)
(413) 596-9657
Entity
Organization
Contact information
Practice address
3 CRANE PARK DR, WILBRAHAM, MA 01095-1787
(413) 596-9657
Mailing address
3 CRANE PARK DR, WILBRAHAM, MA 01095-1787
(413) 596-9657
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19247
MA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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