NPI | 1376203901 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH CAMPBELL CEO 617-665-7241 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-12-22 |
Last Update Date | 2023-06-25 |