| NPI | 1306156229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASHIRA BORRERO Financial Cordinator 617-323-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11648) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |