| NPI | 1245499904 |
|---|---|
| Other Name | FAMILY DENTISTRY INC |
| Entity Type | Organization |
| Authorized Contact | JESSICA L KELLEHER Financial Manager 508-881-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 18296) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 18556) |
| 122300000X Dentist (Licence: MA 21446) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |