| NPI | 1336162791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA FRANK Treasurer/Office Manager 617-547-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 14361) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-09-12 |