| NPI | 1215051867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK STEVEN MASSARSKY Dentist 508-778-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 1523350) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2014-09-24 |