| NPI | 1255500559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J. R. GAMACHE Dentist 413-442-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 18218) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |