| NPI | 1407954761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F LANE President 508-746-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 13878) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 21191) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-10-06 |