| NPI | 1265622443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE TESINI Office Administrator 978-443-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 12919) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |