| NPI | 1285924381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A MOSER President 617-710-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 1855355) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |