| NPI | 1780849240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE LEWIS Owner 508-771-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 19200) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |