| NPI | 1255411799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WATMAN Owner 978-323-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 17094) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 10966) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |