| NPI | 1306805932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LIPTAK Secretary Treasurer 413-533-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 10340) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-09-15 |