| NPI | 1346550811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAZVAN DUMITRU JORDACHE Owner 508-999-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 20123) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |