| NPI | 1518023332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHEN TUTIN Pres 508-872-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 17146) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MA 10574) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |