Organization
BERKSHIRE PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA C GAMACHE DMD (PEDIATRIC DENTIST)
(413) 442-0122
Entity
Organization
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
18214
MA
Other
Enumeration date
02/21/2008
Last updated
03/29/2011
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