NPI | 1033803051 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGHAN WILHELMI Member 978-983-8044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-05 |