| NPI | 1215183264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA NOVAK President 508-655-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18427) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |