Western Mass Periodontics, Llc

NPI 1548596398 - Dentist - 1223P0300X

NPI Details
NPI 1548596398
Enumeration Date 10/29/2009
Last Updated 10/29/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NORMAN E NORMAN
Position MANAGER
Phone (413) 596-0009
Fax (413) 596-0199
Practice Location
85 POST OFFICE PARK
SUITE 8503
WILBRAHAM MA, 01095-1247, US
Phone (413) 596-0009
Fax (413) 596-0199
Business Location
85 POST OFFICE PARK
SUITE 8503
WILBRAHAM MA, 01095-1247, US
Phone (413) 596-0009
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State Massachusetts
License Number 20600
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According to our database, Western Mass Periodontics, Llc NPI is 1548596398, taxonomy code is 1223P0300X and license number is 20600, license state is located at Massachusetts. Western Mass Periodontics, Llc physically located at 85 Post Office Park, Wilbraham MA, 01095-1247. NPI Number 1033115704 has the healthcare provider type.

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1548596398 NPI number is provided on an as is basis without warranty of any kind. 1548596398 is maintained by the National Plan & Provider Enumeration System. The contents of Western Mass Periodontics, Llc are for informational purposes only.