| NPI | 1053688879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LYNNE THOMAS Practice Administrator 978-658-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11432) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |