| NPI | 1275904682 |
|---|---|
| Other Name | WATER STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALICIA LOPEZ- CASADO Regional Manager 978-372-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1857078) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |