| NPI | 1407074289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J KREBS Owner 978-256-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20757) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |