| NPI | 1902060213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F. ROGERS President 508-746-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 13089) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |