| NPI | 1396123642 |
|---|---|
| Doing Business As | FOR ALL AGES DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JENIEVE PAUL Owner Sole Mbr 508-586-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 20981) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2016-01-05 |