| NPI | 1437112398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ALAN KLEIN President 508-823-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MA 12481) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |