| NPI | 1720205958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY AUDET Proprietor 508-347-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11849) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |