| NPI | 1356685317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A. TREMBLAY Dentist/Owner 413-527-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |