| NPI | 1821458936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M HAY-REED President 508-672-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN17245) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |