| NPI | 1235379520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D CABAN President 413-734-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 1855024) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |