NPI | 1619066917 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIUS N. COLES Dentisry 508-584-2708 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MA 1210420) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |