| NPI | 1457375107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L LECHTENBERG President 617-492-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 10823) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 15441) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 20462) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-11-04 |