| NPI | 1528849791 |
|---|---|
| Doing Business As | MAIN STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SAMUEL LU Director 413-530-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-13 |