| NPI | 1205213774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D SPITZ Prosthodontist/Owner 617-277-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MA 18722) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |