| NPI | 1396804498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK KILROY General Partner 508-673-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17041) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-04-23 |