| NPI | 1982999439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ASSIOUN CEO 978-580-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21546) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |