| NPI | 1134399728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA PATRICIA VARGAS General Dentist 781-251-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19119) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |