| NPI | 1295995280 |
|---|---|
| Doing Business As | NO |
| Entity Type | Organization |
| Authorized Contact | SERGEY ZEMLYANSKY Dentist 978-546-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |