NPI | 1558411629 |
---|---|
Former Legal Business Name | ROBERT W STODDARD DMD |
Entity Type | Organization |
Authorized Contact | ROBERT WHITTIER STODDARD Owner Proprietor 781-762-1884 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 167931) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2020-08-22 |