| NPI | 1154536902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL-MARTIN WIKLUND President 508-746-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18644) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-07-28 |