Organization
WESTERN MASS PERIODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN E LEE DMD (MANAGER)
(413) 596-0009
Entity
Organization
Contact information
Practice address
85 POST OFFICE PARK, SUITE 8503, WILBRAHAM, MA 01095-1247
(413) 596-0009
(413) 596-0199
Mailing address
85 POST OFFICE PARK, SUITE 8503, WILBRAHAM, MA 01095-1247
(413) 596-0009
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20600
MA
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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