| NPI | 1932348174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA COLLETTA Dentist 978-499-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19108) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |