| NPI | 1144457847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROBERT COUET President 508-947-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 13923) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |