| NPI | 1194998799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M GANGI Dentist/Owner 978-683-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15474) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |