| NPI | 1508977547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M MALKEMUS President 617-445-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA MA11207) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |