| NPI | 1245472513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DERMESROPIAN Owner 413-526-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 22268) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |