| NPI | 1700989282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M PONTE Dentist Owner 508-674-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 11680) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MA 9708) |
| 1223G0001X Dentist General Practice (Licence: MA 12071) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |