| 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 |