NPI | 1003838053 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD S. MORRIS President 508-832-4141 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16183) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2020-08-22 |