| NPI | 1437205192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAMES NOXON President 781-235-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20525) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |