| NPI | 1508420621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C CHOTKOWSKI Owner/Oral Surgeon 508-257-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-08-17 |