| NPI | 1346613551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TERESA SWEENEY REGAN Member/Manager 617-698-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1855941) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |