| NPI | 1114114360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LEE HERSCHLAG President 781-341-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 16804) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |