| NPI | 1801228259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C. HEGGERICK Owner 781-894-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 11517) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |