NPI | 1184148918 |
---|---|
Entity Type | Organization |
Authorized Contact | IRAYS SANTA MARIA President 617-207-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA D21076) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2017-08-02 |