| NPI | 1275058919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY QUINTA Dentist 508-245-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA DN1855406) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-03-17 |