| 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 |