| NPI | 1790868461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELIAS CABECEIRAS President 508-678-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 15619) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |