| NPI | 1023234150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MANNIELLO President 413-525-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA ma18081) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |