| NPI | 1073721114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNAL SALEM Dentist/Owner 508-646-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19828) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-06-01 |