| NPI | 1346753506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY TEMPLE Owner 617-472-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855737) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2023-06-17 |