| NPI | 1740484484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANN FOLEY ALLEN Office Manager 1978-369-4709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 12230) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |