| NPI | 1063623031 |
|---|---|
| Former Legal Business Name | ERIC KLEIN DMD |
| Entity Type | Organization |
| Authorized Contact | ELISHA FRANK Treasurer Bus Mgr 617-547-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA MA14361) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA MA14361) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-10-10 |