| NPI | 1679839120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS THEODORE PAPAPETROS President 978-886-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NH 03879) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |