| NPI | 1174540074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M GAMM Dr And Owner 508-339-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |