Organization
BERKSHIRE PEDIATRIC DENTISTRY SPECIALISTS, PC
Active
Other names
Berkshire Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN WILSON DMD (PRESIDENT)
(413) 841-2094
Entity
Organization
Contact information
Practice address
77 ELM ST, PITTSFIELD, MA 01201-6503
(413) 442-0122
(413) 442-7555
Mailing address
77 ELM ST, PITTSFIELD, MA 01201-6503
(413) 442-0122
(413) 442-7555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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