| NPI | 1700260809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E WATERFALL Dmd 508-829-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN13193) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |