| NPI | 1396103875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY NURMINSKY Owner 508-904-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15795) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |