| NPI | 1891722153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANCIS FITZPATRICK Owner/Senior Dentist 781-646-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 16855) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |