| NPI | 1487675302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE FRANCIS MCGOVERN Owner President Dentist 508-754-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14022) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2015-03-06 |