| NPI | 1740667542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. FAIELLA President 508-420-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 15238) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |