| NPI | 1740584952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA L DONLEY Owner/President 978-443-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19854) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |