| NPI | 1861658866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J SIMONS Owner 781-944-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17165) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |