| NPI | 1396841854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS I DOBEN President 978-922-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 11909) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 20797) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |