| NPI | 1720079825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BARONE President 508-699-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15502) |
| Enumeration Date | 2005-10-30 |
| Last Update Date | 2007-08-07 |