| NPI | 1144254087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS COHEN President 617-436-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11878) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 12207) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-06-24 |