| NPI | 1568474179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P FISHER President 978-744-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12493) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19961) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |