| NPI | 1194020420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JOHN CORRADO President 978-774-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15872) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19183) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |