| NPI | 1336203850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEE MUGHERINI Office Manager 508-584-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20325) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21543) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |