| NPI | 1669641957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C GAMACHE Pediatric Dentist 413-442-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 18214) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2011-03-29 |