| NPI | 1811020621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. LEWIS President 978-256-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16306) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |