| NPI | 1437374352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J WHITERELL Office Manager 508-753-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA MA16963) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2013-07-17 |