| NPI | 1366647042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROOKES HARTE President 617-696-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 13958) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |