| NPI | 1467562215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC S CHASE Partner 781-843-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 11856) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA 18675) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |