| NPI | 1447057690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EVANS Owner 413-567-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |