Crestal Health Periodontics, PC
Denturist in Northampton, MA. Organization (NPI-2).
NPI number1487804530
StatusActive
Last updated in NPPESSep 26, 2008
Details
- NPI
- 1487804530
- Entity type
- Organization (NPI-2)
- Legal business name
- Crestal Health Periodontics, PC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2008
- Last updated
- Sep 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | 20863 | MA | Yes |
Practice location
243 King StSuite 242
Northampton, MA 01060-2451
Phone 413-584-2229 · Fax 413-584-2290
Mailing address
243 King StSuite 242
Northampton, MA 01060-2451
Phone 413-584-2229 · Fax 413-584-2290
Authorized official
Daniel B Stiefel
Owner
4135842229
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