| NPI | 1467628677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M. WARNER Orthodontist 508-347-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 12165) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-06-23 |