| NPI | 1003158726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS P KONDON Dentist 978-369-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 17715) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |