| NPI | 1255463691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEFFREY WILLIAMS President 413-442-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 20171) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-06-22 |