| NPI | 1932560869 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | COLE G ARCHAMBAULT Partner 413-737-6387 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856538) | 
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN14342) | 
| Enumeration Date | 2016-03-21 | 
| Last Update Date | 2016-05-03 |