NPI | 1871764563 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD JAFFE President 508-993-1728 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 10204) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |