| NPI | 1124664537 |
|---|---|
| Doing Business As | T STATION DENTAL OF LOWELL |
| Entity Type | Organization |
| Authorized Contact | JULIANA MASIELLO Corporate Manager 617-591-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |