| NPI | 1932428026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLAUME LEPINE Dentist/President 508-916-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN21008) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |