| NPI | 1003366790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS MCGONIGLE Dentist/Owner 781-272-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN20865) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |