| NPI | 1063659852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN SAVOY Office Manager 508-238-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 12537) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |