NPI | 1407526247 |
---|---|
Former Legal Business Name | JOHN A PAVLO, DMD, PC |
Entity Type | Organization |
Authorized Contact | JOHN A PAVLO President 978-535-5353 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-09-14 |
Last Update Date | 2021-09-14 |