| NPI | 1013027473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRIAN REEN President 413-733-2477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 10346) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 12908) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-09-13 |