| NPI | 1215961586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE MORALES Dentist/Owner 978-685-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17631) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |