| NPI | 1083044606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A MENNA Dentist/Owner 508-435-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15589) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |