| NPI | 1356473276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G. PETINGE Owner 781-233-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16182) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-12-10 |