| NPI | 1255421392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LIONEL PELLETIER President 978-957-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 17028) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |