| NPI | 1396881728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY PALTER Vice President 508-245-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14481) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 17949) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-03-17 |