NPI | 1144600651 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE P. KIEFER President 781-551-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA DN22026) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2015-06-01 |