NPI | 1649449794 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK ASSIOUN Orthodontist/Owner 508-366-7976 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20209) |
Enumeration Date | 2008-02-22 |
Last Update Date | 2022-09-14 |