| NPI | 1154658607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK F ASSIOUN CEO 508-366-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21980) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |