| NPI | 1285618025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON A. DEMAIO President/Owner 413-584-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 13949) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN20355) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1856395) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2015-07-15 |