| NPI | 1497074546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANBEEB RIAR President 508-320-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20690) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |