| NPI | 1497983225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TINKHAM Business Adminisrator 508-761-3176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 16514) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |