| NPI | 1720283781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART WILLIAM LEVINE Partner 508-235-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12872) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |