| NPI | 1932226594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE PINTO Business Manager 508-424-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MA 16291) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |