| NPI | 1235236043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY N FEUERMAN President 508-875-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 15983) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 15625) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |