| NPI | 1306058110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT LALA Orthodontist 978-454-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20359) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-06-17 |