| NPI | 1013276211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J HALUCH COO 413-733-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20704) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |