| NPI | 1275925026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GREGORY HORNUNG Owner 978-314-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856070) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1856260) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |