| NPI | 1396287694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYRIAKI VOUDOURIS TSAPARLIS Dentist 857-498-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19973) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |