NPI | 1770174708 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE TAVANO CFO 978-580-1524 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2021-02-02 |
Last Update Date | 2023-02-08 |