NPI | 1447794136 |
---|---|
Former Legal Business Name | FAMILY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MIHAELA STOIAN Dentist 508-366-7450 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 18966) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2016-12-14 |