| NPI | 1265851539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN ORENSTEIN Pediatric Dentist/Owner 617-916-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA DN1855399) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |