| NPI | 1952415721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER M. NEIDHARDT President 508-764-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 13498) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |