| NPI | 1063886281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WEISNER Proprietor 978-683-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 13497) |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2015-11-26 |