| NPI | 1528182284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES CORMIER Owner 978-927-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 16677) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |