| NPI | 1477716603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD A LEVINE Dentist 617-492-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MA 11053) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 18248) |
| 1223E0200X Dentist Endodontics (Licence: MA 19758) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |