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Organization

CRESTAL HEALTH PERIODONTICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL B STIEFEL D.M.D. (OWNER)
(413) 584-2229
Entity
Organization

Contact information

Practice address
243 KING ST, SUITE 242, NORTHAMPTON, MA 01060-2451
(413) 584-2229
(413) 584-2290
Mailing address
243 KING ST, SUITE 242, NORTHAMPTON, MA 01060-2451
(413) 584-2229
(413) 584-2290

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
20863
MA

Other

Enumeration date
09/25/2008
Last updated
09/26/2008
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