| NPI | 1356461891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CRAIG IRVING Owner 413-737-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12970) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |