Individual
DR. JACK BUDNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
77 ELM ST, PITTSFIELD, MA 01201-6503
(413) 442-0122
Mailing address
77 ELM ST, PITTSFIELD, MA 01201-6503
(413) 442-0122
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8020
NJ
Other
Enumeration date
02/16/2007
Last updated
02/24/2011
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