| NPI | 1366817629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F TRAVERSY Owner 978-532-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16967) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |