NPI | 1871627190 |
---|---|
Entity Type | Organization |
Authorized Contact | DWIGHT K. STOWELL Owner 978-249-8545 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 12736) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2008-06-17 |