| NPI | 1295050094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BENNET SHARE Chief Executive Officer 617-742-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15456) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |