NPI | 1760699698 |
---|---|
Doing Business As | NEPONSET DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | GARY M STILLER Dentist 617-265-6556 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 11624) |
Additional Taxonomies | 122300000X Dentist (Licence: MA 11795) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |