| NPI | 1083736185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDI JANE EZEKOWITZ Owner 978-462-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21058) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-07-27 |