| NPI | 1407964901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B FREEDMAN Owner 978-369-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 13998) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 19000) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2020-08-22 |