| NPI | 1073756383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET JEAN HOWARD Associate Professor 617-636-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 14831) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |