| NPI | 1154774404 |
|---|---|
| Other Name | GEORGE P. MOUTEVELIS, DMD |
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARIE MOUTEVELIS Business Manager 781-933-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 15162) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 21707) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |