| NPI | 1033307962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD H. STRAUSS President 617-969-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: MA 18106) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2015-09-15 |