The Nurture Frenectomy Center
Clinic/Center, Dental in Pittsfield, MA. Organization (NPI-2).
NPI number1205436276
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1205436276
- Entity type
- Organization (NPI-2)
- Legal business name
- The Nurture Frenectomy Center
- Organization subpart
- No
- Enumeration date
- Oct 29, 2020
- Certification date
- Oct 29, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
200 Elm St Ste 1Pittsfield, MA 01201-6551
Phone 413-329-3292
Mailing address
193 Osceola RdRichmond, MA 01254-5211
Phone 443-610-7590
Authorized official
Lauren Ballinger
President
4133293292
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