| NPI | 1932249547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT CHARLES ROSEN Owner 508-757-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 10221) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |