| NPI | 1437278314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARY JARUSE Office Manager 508-746-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12930) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 2010120) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |