| NPI | 1427120716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS ANTHONY FERRARO President 617-489-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 16530) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |