| NPI | 1932276342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLES FOOTE President 508-295-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15509) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |