NPI | 1164611315 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM T BENSON President 978-372-9122 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15695) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2007-10-23 |