| NPI | 1164433215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HENRY WAINWRIGHT President 978-685-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14747) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19703) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-04-06 |