| NPI | 1508013491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN JEANNETTE KEATING Dentist/President 781-834-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 19981) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |