| NPI | 1003043514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RAYMOND LAHAIR President 508-667-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21333) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-07-13 |