| NPI | 1154377273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SHERWOOD Provider 978-777-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MA 14573) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-01-20 |