| NPI | 1619193125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRUCE SHERMAN Owner 508-822-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16483) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |