NPI | 1881870822 |
---|---|
Other Name | TOOTHFAIRY DENTAL PC |
Entity Type | Organization |
Authorized Contact | NAYELI V MCCASKEY President 978-458-2616 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MA 000862730) |
Enumeration Date | 2008-01-19 |
Last Update Date | 2008-01-19 |