| NPI | 1306012380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SUSAN EISEN Dentist 781-324-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17367) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |