NPI | 1972879187 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH PELUSO Orthodontist 508-643-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA MA12537) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2012-04-02 |