NPI | 1043853765 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BUTERA Owner/Dentist 617-858-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |