| NPI | 1558697201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCOTT RICH Owner Orthodontist 508-954-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS036660) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |