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 |