| NPI | 1194090415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CUMMINS D.M.D. 617-445-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 22207) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |