| NPI | 1780070946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM R MARENGI Owner 978-467-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1855930) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1855794) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |