| NPI | 1730385444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN KENNON Owner Dentist 508-823-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 10582) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-09-12 |