| NPI | 1578749750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TERRENCE MULCAHY Dentist 508-228-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 21793) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-06-16 |