NPI | 1184654386 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS R TRAINOR President 781-935-8810 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 012419) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2016-06-13 |