| Western Mass Periodontics, Llc | |
|
85 Post Office Park Suite 8503 Wilbraham MA 01095-1247 | |
| (413) 596-0009 | |
| (413) 596-0199 |
| Full Name | Western Mass Periodontics, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 85 Post Office Park, Wilbraham, Massachusetts |
| Authorized Official Name and Position | Norman E Lee (MANAGER) |
| Authorized Official Contact | 4135960009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Mass Periodontics, Llc 85 Post Office Park Suite 8503 Wilbraham MA 01095-1247 Ph: (413) 596-0009 | Western Mass Periodontics, Llc 85 Post Office Park Suite 8503 Wilbraham MA 01095-1247 Ph: (413) 596-0009 |
| NPI Number | 1548596398 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 10/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548596398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 20600 (Massachusetts) | Primary |
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