| NPI | 1609078898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA NOVERSA Office Manager 508-673-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 7213) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2011-06-08 |