| NPI | 1316151822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RODRIGUES President 508-672-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14496) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-08-30 |