| NPI | 1124299060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ROY ZICHERMAN President 978-535-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 12783) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 21042) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 12800) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 20795) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19984) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |