| NPI | 1386862746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD THOMAS ONEIL Pres 413-664-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 12603) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |