| NPI | 1194935544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT DENHART President 413-534-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 213715) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |