| NPI | 1184839573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS F LEIGH Owner 978-302-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20254) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20757) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |