| NPI | 1336585280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SCHROTT Owner 857-334-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1855284) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |