| NPI | 1841695137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RECZEK Owner 978-462-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 21339) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 14249) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |