NPI | 1033209135 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS F UNGER General Dentist 508-798-0627 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 14281) |
Additional Taxonomies | 122300000X Dentist (Licence: MA 21581) |
122300000X Dentist (Licence: MA 20174) | |
1223P0300X Dentist, Periodontics (Licence: MA 19142) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21581) | |
122300000X Dentist (Licence: MA 17989) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 10747) | |
122300000X Dentist (Licence: MA 14928) | |
122300000X Dentist (Licence: MA 14588) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-05-13 |