| NPI | 1093905036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ASSIOUN Owner 508-485-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |