| NPI | 1487976791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C EVANGELISTI President 339-970-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21021) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |