| NPI | 1457509572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NEIL LEADERMAN President 413-736-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 12421) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-08-26 |