| NPI | 1669809646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ROSS VIRGADAMO Dentist 1508-943-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11988) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |