| NPI | 1144493834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL A JUSSEAUME Owner 508-636-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 0216631) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |