| NPI | 1083789325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN P BRANCH President 413-584-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12882) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 15301) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |