| NPI | 1285015842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MILLER Owner 617-894-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |