Organization
WESTERN MASS PERIODONTICS & IMPLANT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BRANIGAN (CREDENTIALING MANAGER)
(631) 696-0100
Entity
Organization
Contact information
Practice address
435 SOUTH ST STE 1, PITTSFIELD, MA 01201-8214
(413) 445-4592
Mailing address
435 SOUTH ST STE 1, PITTSFIELD, MA 01201-8214
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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