| NPI | 1477755536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HARVEY TITEL Owner 978-536-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA ma18572) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA MA18572) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-07-08 |