| NPI | 1235187360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL IADAROLA Owner 508-528-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14935) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-02-18 |