| NPI | 1053527341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LOMBARDO Office Manager 781-729-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18665) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-01-27 |