| NPI | 1306136106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA O FAIGEL Dmd / Owner 617-887-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 20485) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |