| NPI | 1255493722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ORDEN Oral Surgeon 617-277-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MA 15195) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |