| 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 |