| NPI | 1871089383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE TAVANO Chief Financial Officer 978-580-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20209) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2020-04-23 |