| NPI | 1982932315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN NADEAU Office Administrator 413-731-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15280) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |