| NPI | 1336274117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD PAUL HERSEY President 781-848-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 18915) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |