Individual
TERRI WENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
510 NORTH ST STE 2, PITTSFIELD, MA 01201-4111
(413) 447-2781
Mailing address
58 BURR DR, DALTON, MA 01226-1316
(413) 684-1029
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9715
—
MA
Enumeration date
08/25/2022
Last updated
08/25/2022
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