| NPI | 1184890345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P BALAMAS President/ Dentist 508-336-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18696) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |