NPI | 1356543458 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIAN JOSEPH COSTANZA Orthodontist 978-774-8266 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 8910) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-08-22 |