| NPI | 1164589867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART CUSHNER Orthodontist Owner 508-824-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 15314) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-10-10 |