| NPI | 1881614238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH P LAPRIORE Office Manager 508-366-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 20871) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 18840) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: MA 20782) | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 19945) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |