| NPI | 1619197688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN W MCKENNA Owner 413-786-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 17040) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-08-07 |