| NPI | 1053431361 |
|---|---|
| Doing Business As | MASSASOIT DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN P BLATZ Owner 508-583-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-10-29 |