NPI | 1184865032 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN B LEE President 978-635-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 18806) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2009-03-23 |