| NPI | 1841331584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE J. RUBIN President 978-957-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 18369) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MA 11984) |
| 1223G0001X Dentist General Practice (Licence: MA 15490) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-08-25 |