| NPI | 1114284858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE R. KELLER President 413-586-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN18723) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-23 |