| NPI | 1174959381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA SEREDKINA Office Manager 978-587-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855454) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |