| NPI | 1356371371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG M ALLEN President 781-843-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18753) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |