| NPI | 1104999028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARK HIRSHBERG President 617-542-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 18148) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 12892) |
| 1223G0001X Dentist, General Practice (Licence: MA 19169) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-09-11 |