| 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 |