| NPI | 1093721755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STROKOWSKI Owner 617-924-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17825) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 17289) |
| 1223P0300X Dentist, Periodontics (Licence: MA 17197) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-07-07 |