| NPI | 1275664187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVID LANDRY Owner 413-736-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 16202) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |