| NPI | 1245429851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. ROYER President 508-676-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MA 19422) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |