| NPI | 1619317799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PAGLIA President 508-485-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |