| NPI | 1649465220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP F MAMOLITO President 413-442-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12851) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |