| NPI | 1821133166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICH F. KRONENWETT Vice President 978-263-3526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 18088) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 012231) |
| 122300000X Dentist (Licence: MA 20898) | |
| 1223E0200X Dentist, Endodontics (Licence: MA 20554) | |
| 1223P0300X Dentist, Periodontics (Licence: MA 18342) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |