| NPI | 1194023796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANEY M ACOSTA Pediatric Dentist 617-504-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 052975-1) |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2011-03-05 |