| NPI | 1043491996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ANGELO ELIOPOULOS President 978-256-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 16609) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2012-05-18 |