| NPI | 1235454893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURAIYA M SHAIKH Manager 978-630-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20133) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |