| NPI | 1861500100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG C GRUSKOWSKI Dentist Owner 978-486-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16874) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-06-16 |