| NPI | 1407611221 |
|---|---|
| Doing Business As | MASSOMS |
| Entity Type | Organization |
| Authorized Contact | JO A GOY Credentialing 603-595-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |