Organization
WESTERN MASS PERIODONTICS & IMPLANT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BRANIGAN (CREDENTIALING MANAGER)
(631) 696-0100
Entity
Organization
Contact information
Practice address
271 MAIN ST, GREAT BARRINGTON, MA 01230-1748
(413) 644-8894
Mailing address
271 MAIN ST, GREAT BARRINGTON, MA 01230-1748
(413) 644-8894
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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