| NPI | 1346537792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M PONTE PEREIRA Dentist 617-492-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 17461) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |