| NPI | 1558478776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY R PATTERSON President/Owner 781-862-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19576) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |