Individual
VLADIMIR NAZAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 SOUTH ST, PITTSFIELD, MA 01201-6837
(413) 443-9013
Mailing address
205 SOUTH ST, PITTSFIELD, MA 01201-6837
(413) 418-4104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
06/02/2017
Last updated
01/17/2024
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