| NPI | 1346474327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J. SCHREIER Member 781-659-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 11741) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 20779) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21275) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |