NPI | 1144352931 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT R. PERRY President 508-583-5210 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19737) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-22 |