| NPI | 1285649442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ANGUS RAYMENT President 508-429-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 19355) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MA 21344) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |