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 |