| 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 |