| NPI | 1629264304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANGELIC GANGOY Owner/Orthodontist 978-687-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2020-01-21 |