| NPI | 1275742553 |
|---|---|
| Other Name | CHURCH STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | WALTER E GAZDA Owner 413-592-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 13284) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |