Individual
DR. STANLEY EDMUND PIECUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
80 MAIN ST, MONSON, MA 01057-1318
(413) 267-5139
Mailing address
80 MAIN ST, MONSON, MA 01057-1318
(413) 267-5139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12906
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246336
—
MA
Enumeration date
09/13/2006
Last updated
07/08/2007
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