| NPI | 1164921151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PELUSO Owner 508-643-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21325) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |