| NPI | 1427811900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE ECKERT Oral Surgeon / Owner 617-484-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |