LOGAN WILSON

PITTSFIELD, MA
NPI1760062061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: MA  DN1859678)
Enumeration Date2021-04-11
Last Update Date2023-07-11
Business Address
LOGAN WILSON DMD
77 ELM ST
PITTSFIELD, MA 01201-6503
Phone number: 413-442-0122
Mailing Address
LOGAN WILSON DMD
29 WESTVIEW RD
LANESBOROUGH, MA 01237-9516
Phone number: 413-841-2094