| NPI | 1124309968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C CHOUINARD Co Owner 774-930-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH12750) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH12734) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |