| NPI | 1023295011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ASSIOUN Owner 508-473-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20209) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |