| NPI | 1508055245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANA ESTHER DIFABIO Director 617-569-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 17685) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |