Organization
WESTERN MASS ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN M RECORD DMD (PRESIDENT CORPORATION)
(413) 733-6600
Entity
Organization
Contact information
Practice address
15 LIBERTY STREET, WESTERN MASS ENDODONTICS, SPRINGFIELD, MA 01103
(413) 733-6600
(413) 732-1667
Mailing address
15 LIBERTY STREET, WESTERN MASS ENDODONTICS, SPRINGFIELD, MA 01103
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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