| NPI | 1205236940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN JOSEF MEYER President 781-305-3275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN18534) |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2014-08-31 |