| NPI | 1306828660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LOUIS WEINSTOCK President 781-575-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 20067) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-08-22 |