| NPI | 1245544840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CONRAD MICHAUD Orthodontist 781-899-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN9453) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |