| NPI | 1487136362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE JOHNSON Business Coordinator 978-688-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16535) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |