| NPI | 1497911606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE PLOURDE Dentist 413-789-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14334) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |