| NPI | 1487826418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE L FONTAINE Partner 781-648-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 15441) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |