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 |