| NPI | 1881621159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KYLE ROSS President 978-458-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 18511) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-06-17 |