NPI | 1407029440 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA A HAMILTON Sole Proprietor 508-880-8860 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MA 21128) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-05-06 |