| NPI | 1124357520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK D MCCARTY Owner 508-692-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MA 21915) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 20685) |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MA 1855924) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2014-04-02 |