| NPI | 1093128506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P. MISCHLEY Owner 508-668-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN19842) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |