| NPI | 1356492698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI BREITMAIER Administrative Assistant 413-499-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 11594) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |