| NPI | 1235499443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN POL F MCLAUGHLIN Dentist 781-983-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |