| NPI | 1073781787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH J LAURETANO Dentist 781-729-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 9494) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |