| NPI | 1891850996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD E EGAN Owner 508-775-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA MA154141) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-06-28 |