| NPI | 1467501866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY A. SOZANSKI President 978-922-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 12245) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |