| NPI | 1932482189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. PAVLO Owner 978-535-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19473) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |