NPI | 1194071548 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA DRIMBAREAN-GHENTA Owner/Doctor 508-997-6617 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19520) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2013-12-30 |