| NPI | 1295156636 |
|---|---|
| Doing Business As | BAYSTATE DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | ANN MARIE SANTOS Practice Manager 413-439-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN15623) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-13 |