| NPI | 1003141086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE RABENI Dentist 508-746-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855081) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2016-07-22 |