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 |