| NPI | 1255637195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD COPPE Dmd 781-861-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 11347) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |