| NPI | 1902003072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON LEVENBAUM President, Dentist 978-692-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16439) |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2007-08-14 |