| NPI | 1245332949 |
|---|---|
| Former Legal Business Name | SOUTH SHORE LASER DENTISTRY INC |
| Entity Type | Organization |
| Authorized Contact | GREGG RAYMOND MELFI Dentist Owner 617-698-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 20231) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI 2159) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |