NPI | 1932297488 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW T BOYNTON Owner 508-746-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20766) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |