| NPI | 1366130841 |
|---|---|
| Doing Business As | TYNGSBORO FAMILY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANCIS DUDLEK Owner 978-649-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-05-01 |