| NPI | 1497831861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G WYMAN President 781-646-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 13400) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |