| 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 |