| NPI | 1356580922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROY COHEN President/Soul Share Holder 617-523-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12044) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |