| NPI | 1124481627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MARTINS President 781-866-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA DN21846) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |