| NPI | 1831256262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES RICCIO President 978-356-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 15392) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |