| NPI | 1194059725 |
|---|---|
| Former Legal Business Name | METROWEST ORTHODONTIC ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | REGINA STJOHN Credentialing Dept 508-460-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 122300000X Dentist | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2012-08-09 |