| NPI | 1154844892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MICHAEL LANGTON Dentist 617-293-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1856983) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |