| NPI | 1396025441 |
|---|---|
| Doing Business As | GLAD SPECIALIZED FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GUSTAVO J INFANTE P 617-645-3286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN21117) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN21546) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2017-04-13 |