| NPI | 1942330691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J GIROUX Office Manager 413-525-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18980) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |