| NPI | 1235448945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L MATTHEWS Owner 413-737-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19482) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |