| NPI | 1437344421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIC D'AMICO President/Dentist 617-926-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17710) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |