| NPI | 1801091517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G LATIMER Partner 508-775-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 13140) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21472) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 13149) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-10-23 |