| NPI | 1366610073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY R MORIN Office Manager 413-663-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 14002) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |