| NPI | 1306004239 |
|---|---|
| Other Name | DENTISTS AT 92 HIGH STREET PC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PHILLIPS Secretary 978-777-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 16547) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |