| NPI | 1124243555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIC S MACKLER President 413-747-9224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11580) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 11580) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |