| NPI | 1629247671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD K ROWE President 978-537-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 16141) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |