Individual
DR. PUVIN MITHRA RODRIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
58 OLD NORTH RD, WORTHINGTON, MA 01098-9708
(413) 238-5511
Mailing address
77 HOSPITAL AVE STE 102, NORTH ADAMS, MA 01247-2538
(413) 346-4242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15977
MA
1223D0001X
Public Health Dentistry
DL15977
MA
Other
Enumeration date
11/29/2023
Last updated
11/04/2024
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