| NPI | 1497928352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE PETTI Office Manager 508-269-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16648) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |