NPI | 1871705640 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE EDWARD MALONEY Dentist 508-752-1007 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MA 216236) |
Additional Taxonomies | 122300000X Dentist (Licence: MA 14984) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2025-09-11 |