| NPI | 1447765417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J BRAVMAN Owner 508-771-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 14452) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |