NPI | 1649450842 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA D DRENNEN Owner/President 508-478-7445 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 13696) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |