| NPI | 1497879233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE MARGARET MUNN Dr. 978-342-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 20031) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |