| NPI | 1336477652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA HUNT Director Of Operations 413-445-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 4E63) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 4E63) |
| 122300000X Dentist (Licence: MA 4E63) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2018-06-20 |