Individual
SHAHANA MUTHIRIKKULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 NORTH ST, PITTSFIELD, MA 01201-5493
(413) 447-2781
Mailing address
260 PITTSFIELD RD UNIT F5, LENOX, MA 01240-2139
(413) 358-0611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL14450
MA
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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