| NPI | 1275518466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID GOLDBERG President 978-774-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12672) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-08-22 |