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 |