| NPI | 1730484924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIECA J FAGGIOLI President 413-442-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 21766) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |