| NPI | 1376573592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MAURICE WHITEMAN Dentist/Owner 617-731-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18567) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |