NPI | 1295847895 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE MERRILL Dental Assistant 978-658-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19526) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 20023) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-06-12 |