| NPI | 1306994702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY G DIMATTEO Partner 508-765-5985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 12696) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MA 12974) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-04-10 |