| NPI | 1104842723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL DANKO Othodontist 508-839-6068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |