| NPI | 1861672420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES MONE President 781-848-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 12901) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |