| NPI | 1376719476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ELIASBERG President 508-875-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 17216) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |