| NPI | 1184914210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A BONNER Dentist 413-586-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17671) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |