| NPI | 1487946224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE M GUERNSEY Dentist 781-662-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855465) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2012-11-20 |