| NPI | 1194934869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J DEREGIS General Dentist 781-862-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18626) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |