| NPI | 1992934665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND K MARTIN Owner 508-337-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15885) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |