| NPI | 1427033422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ROSE CALLUM Owner/Operator 781-593-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 18299) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-09-04 |