Individual
DATTY SAHYOUNI X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
343 MAIN ST REAR, GREAT BARRINGTON, MA 01230-1846
(413) 528-5565
Mailing address
PO BOX 3053, PITTSFIELD, MA 01202-3053
(413) 449-6935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL13527
MA
1223G0001X
General Practice Dentistry
Primary
DL13527
MA
Other
Enumeration date
10/20/2017
Last updated
01/03/2018
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