| NPI | 1205093069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIF K BAKLAND President 978-465-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14574) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |