NPI | 1710089545 |
---|---|
Doing Business As | PEDIATRIC DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | VINCENT A TRIMBOLI Owner 413-525-6626 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 17445) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 20842) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2020-08-22 |