| NPI | 1871705640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD MALONEY Dentist 508-752-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 14984) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 216236) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |