| NPI | 1942496344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W CULLINGTON Owner 413-527-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 016907) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2012-02-13 |