| NPI | 1689885220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A COOPER Dentist 508-234-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14267) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-12-28 |