| NPI | 1013182708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO S CARVALHO Owner/Orthodontist 617-332-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20517) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |