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 |