| NPI | 1770932824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE M. STANLEY Dentist/Owner 508-765-5985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA DN1856254) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |