| NPI | 1154801314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T JONES CEO/President 617-533-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 4O3A) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2020-04-02 |