| NPI | 1366719395 |
|---|---|
| Former Legal Business Name | COLUMBIA & BROADWAY, ORTHODONTICS, INC. |
| Entity Type | Organization |
| Authorized Contact | WILLIAM M ADAMS President 617-825-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 12597) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2016-02-04 |