| NPI | 1588853592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER E. WYMAN Office Manager 413-562-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19043) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |