| NPI | 1942430533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO FELIPE AVERY-MIRANDA Owner 508-366-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 21994) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |