| NPI | 1447645866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FISH Owner/Dentist 413-773-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN1856609) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |