| NPI | 1225537327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA S BONDAR Dentist/Owner 617-472-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19975) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |