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1760062061
LOGAN WILSON
PITTSFIELD, MA
NPI
1760062061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: MA DN1859678)
Enumeration Date
2021-04-11
Last Update Date
2023-07-11
Business Address
LOGAN WILSON DMD
77 ELM ST
PITTSFIELD, MA 01201-6503
Phone number: 413-442-0122
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Mailing Address
LOGAN WILSON DMD
29 WESTVIEW RD
LANESBOROUGH, MA 01237-9516
Phone number: 413-841-2094
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