| NPI | 1861807513 |
|---|---|
| Former Legal Business Name | KATHRYN KEANE WYCH, D.M.D. |
| Entity Type | Organization |
| Authorized Contact | KATHRYN KEANE WYCH Dentist/Owner 508-234-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855881) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |