| NPI | 1437346046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN ARDOLINO Rece PT Ionist 781-729-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FM 19240) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |