| NPI | 1871761635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOTINE PANAGAKOS Office Manager 978-957-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 14026) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-06-30 |