NPI | 1184075038 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY L LEONARD Owner 978-687-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN19018) |
Enumeration Date | 2016-06-22 |
Last Update Date | 2016-06-22 |