| NPI | 1053674309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT PATRICK MANSFIELD Manager 978-774-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19454) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |