| NPI | 1205007978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GORDON LEPINGWELL Orthodontist 617-889-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19039) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-12-11 |