| NPI | 1104983147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD BROVERMAN President 978-369-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11223) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |