NPI | 1649325960 |
---|---|
Former Legal Business Name | GREGORY G. ANDRE, DDS |
Entity Type | Organization |
Authorized Contact | GREGORY G ANDRE Owner 978-658-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA ma17921) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |