| NPI | 1871647354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANS IVAN ORUP Owner President Orthodontist 978-369-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 18351) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |