| NPI | 1013308956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GERARD LOMBARDO Owner 781-272-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 18006) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |