| NPI | 1457523573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M BARROS Office Manager 508-586-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15243) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |