| NPI | 1427389618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM M PRETORIUS President 617-328-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 1735820) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |