NPI | 1255184164 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY OYEBODE OLATUNJI Dentist 781-774-9885 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2024-04-10 |
Last Update Date | 2024-04-10 |