| NPI | 1174670079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEE STEINHOF President 508-673-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17682) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |