| 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 |