| NPI | 1841672532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PUPKA Office Manager 978-422-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20156) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |