NPI | 1275665705 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM MALAVE-VIDAL President 413-747-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18100) |
Enumeration Date | 2007-03-11 |
Last Update Date | 2020-08-22 |