| NPI | 1831590611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANUSA F VIEIRA Office Manager 508-628-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19359) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |