| NPI | 1417162918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L MATTHEWS Owner 413-737-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 19482) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |