NPI | 1396204335 |
---|---|
Doing Business As | T STATION DENTAL OF LYNN |
Entity Type | Organization |
Authorized Contact | JULIANA MASIELLO Corporate Manager 617-591-9999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-03-19 |
Last Update Date | 2019-06-11 |