| NPI | 1063015816 |
|---|---|
| Doing Business As | MASSASOIT DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES MANZI Owner 508-583-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |