| NPI | 1205115862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO MONTILLO Owner 781-848-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18364) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |