| NPI | 1265149397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY LORRAINE FRITSCH Owner, Dentist 617-777-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2025-08-07 |