| NPI | 1417155276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J FRAZIERO President 413-525-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 016684) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |