| NPI | 1164523379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK KIRVIN CEO/Dentist 413-532-7183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17428) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |