| NPI | 1851569677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL PHELAN Doctor 508-761-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15573) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |