| NPI | 1639352289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L MANIS Pres Of Corp 978-374-0863 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA MA10293) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |