Organization
PHILIP F MAMOLITO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP F MAMOLITO DMD (PRESIDENT)
(413) 442-8684
Entity
Organization
Contact information
Practice address
114 WENDELL AVE, SUITE 1, PITTSFIELD, MA 01201-6976
(413) 442-8684
Mailing address
114 WENDELL AVE, SUITE 1, PITTSFIELD, MA 01201-6976
(413) 442-8684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12851
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12851
MA STATE ID
MA
Enumeration date
09/07/2007
Last updated
09/07/2007
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