NPI | 1184446213 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY DAVID WOLAND President 617-652-0874 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-10-29 |
Last Update Date | 2024-10-29 |