| NPI | 1265164081 |
|---|---|
| Doing Business As | NEW ENGLAND DENTAL GROUP-BACK BAY |
| Entity Type | Organization |
| Authorized Contact | ALICIA LACLAIR Clinical Systems Director 508-281-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |