| NPI | 1477867612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BREINES Executive Director 413-420-2110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 4118) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |