| NPI | 1326887357 |
|---|---|
| Doing Business As | BERKSHIRE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LOGAN WILSON President 413-841-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |