| NPI | 1295757144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN S, LU Shareholder 978-851-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15635) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |