| NPI | 1073575056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A COLLINS President 508-966-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11451) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |