| NPI | 1275753741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LAWRENCE FADJO Partner Owner 978-256-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12888) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-09-19 |