| NPI | 1316179351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L MUGHERINI Office Manager 508-584-1166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |