| NPI | 1962799981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD FICHERA President 978-683-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 13622) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |