NPI | 1104949361 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTA ORREGO RAFLA President 508-485-6723 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 18324) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |