| NPI | 1396829180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A FIELD Office Manager 781-279-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 14275) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |