| NPI | 1386757458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA AYOUB GOBRAN President 508-753-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 21325) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-10-28 |