| NPI | 1215265293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA SEVER Owner /Director 617-328-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15075) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2019-09-11 |