| NPI | 1316080732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON W YAMPOLSKI President 508-478-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 12415) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |