NPI | 1073771978 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JAMES GILBRIDE President 978-933-0350 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 17392) |
Enumeration Date | 2008-05-28 |
Last Update Date | 2008-05-28 |