| NPI | 1477903839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SHIN PERRY Owner 413-562-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 18173) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |