| NPI | 1346556198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFELIA VELUZ VILLANUEVA D.M.D. 617-328-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17807) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |