| 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 |