| NPI | 1578613865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P MOONEY President 781-932-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 16749) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-09-18 |