| NPI | 1245248194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY P WHEELER Dentist 781-595-7953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14804) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-20 |