| NPI | 1306126735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MARTIN GRIFFIN Business Manager 781-596-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA DN12961) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2020-08-26 |