| NPI | 1366568404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SHAW Director Of Revenue Cycle 781-562-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: PA DS028139L) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-09-17 |