| NPI | 1023315678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE MILLER Endodontist 617-894-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 21541) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |