NPI | 1730454109 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN RAYMENT President 508-359-9849 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA dn19355) |
Enumeration Date | 2012-03-18 |
Last Update Date | 2012-03-18 |