| NPI | 1730312869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK F ASSIOUN CEO 978-345-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 20209) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |