| NPI | 1558655159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F UNGER Director 508-798-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14291) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |