| NPI | 1205127842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLIVETTE X SANTAMAIRA General Dentist 781-608-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 20750) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2011-05-01 |