NPI | 1073918348 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE YOUNG Dentist/Owner 617-331-4288 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21920) |
Enumeration Date | 2014-10-29 |
Last Update Date | 2014-10-29 |