| NPI | 1134240500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GARRITY President 508-477-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19411) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-09-02 |