| NPI | 1083824866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL KORN Orthodontist 617-536-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 10337) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |