| NPI | 1144498049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASCALE BERTY Owner/Dentist 781-862-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2022-07-21 |