NPI | 1457400038 |
---|---|
Entity Type | Organization |
Authorized Contact | LILIA S. FIAT General Dentist 978-762-4455 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17615) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-08-22 |