| NPI | 1114358363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE C GARCIA-ROGERS President 978-697-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN19107) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |