| NPI | 1861407413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F PAQUETTE President 978-562-6926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 11040) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MA 19539) |
| 1223G0001X Dentist General Practice (Licence: MA 18757) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-03-06 |