| NPI | 1083916365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M LUISI Public Health Dental Hygienist 617-913-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH11340) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MA DH10126) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |