NPI | 1790952638 |
---|---|
Doing Business As | ESSEX STREET DENTAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JEFFREY MICHAEL CASIGLIA Owner/Master 978-744-7904 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19726) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2008-05-09 |