| NPI | 1801820147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J. KERR President/Owner 508-747-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15537) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19793) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-12 |