| NPI | 1629522743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K MANGANO Dentist Owner 978-682-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16185) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |