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 |