| NPI | 1861833055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS THEODORE PAPAPETROS President 508-845-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 18093) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |