| NPI | 1073786398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT LELAND President 781-826-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20367) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |