| NPI | 1053426403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E BIDINGER Owner 508-949-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16816) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 17143) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |