| NPI | 1720480502 |
|---|---|
| Doing Business As | DENTISTRUST |
| Entity Type | Organization |
| Authorized Contact | FERNANDO A PEREZ Dentist 413-454-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 28477) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |