| NPI | 1528197332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A BENNY President 781-235-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 10624) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |