| NPI | 1013013804 |
|---|---|
| Former Legal Business Name | MIDURA AND SZOSTAK P.C |
| Entity Type | Organization |
| Authorized Contact | SETH SHUNRYU EICHENLWB Owner/Dentist 413-527-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-09-10 |