| NPI | 1952508079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RODRIGUES President 508-235-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14496) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |