| NPI | 1194153445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN THOMAS SCHMID Co Owner 617-797-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1855346) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |