| NPI | 1306021043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS GUERIN Dentist/Owner 617-625-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18597) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |