| NPI | 1154593242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R BEFORE Officce Manager 413-536-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17255) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |