| NPI | 1174680912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JOSEPH MCCREADY Partner Owner 508-757-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA MA12898) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA MA12895) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-07-21 |