| NPI | 1720324288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON A. GLICKSMAN Partner 508-999-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |