| NPI | 1609886720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A MARSHALL Owner 508-672-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MA 18730) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2015-01-26 |