| NPI | 1528337250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RUSS CEO/Owner/Dentist 781-325-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 22300) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |