NPI | 1295971992 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA MARIE PONTE PEREIRA President 617-492-7626 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 17461) |
Enumeration Date | 2008-12-30 |
Last Update Date | 2008-12-30 |