| NPI | 1568813293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN SADY Office Manager 413-786-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA dn1857118) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |