| NPI | 1447694807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEXIS JOFFRE Orthodontist 617-533-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |