NPI | 1134382567 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE PYSER Office Manager 413-442-7213 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19942) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2008-07-07 |