| NPI | 1902357049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GRAMSE Owner/Authorized Official 413-783-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN18803) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |