| NPI | 1831316207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS F LEIGH Owner 978-630-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 20254) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 20757) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |