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 |