| NPI | 1265831135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MARK HOWIESON President 781-235-6710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 14570) |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2014-08-17 |