| NPI | 1548575251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MICHAEL ROBITAILLE Owner 508-674-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 13708) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |