| NPI | 1386987501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PETER FOLAN Owner 617-265-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN14915) |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2013-04-06 |