NPI | 1962738393 |
---|---|
Doing Business As | THE KIDS' DENTIST |
Entity Type | Organization |
Authorized Contact | PATRICK F ASSIOUN CEO 508-473-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21980) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2009-10-20 |