| NPI | 1104043579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PAUL MOSKAL Owner 508-553-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 19659) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |