| NPI | 1093931560 |
|---|---|
| Other Name | THOMAS L HEDSTROM DDS |
| Entity Type | Organization |
| Authorized Contact | THOMAS LEE HEDSTROM Dds Owner 508-852-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14922) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-10-06 |