| NPI | 1255977070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN POL F MCLANGHLIN Owner 781-983-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |