| NPI | 1356673198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. KOSIOREK Doctor 413-567-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 15133) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |