| NPI | 1336268176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CONROY Dentist 508-695-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI 2350) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 17469) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-02-23 |