| NPI | 1104111343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BADRI Z DEBIAN President 413-533-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN18576) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |