| NPI | 1528575727 |
|---|---|
| Other Name | COSDENT.COM |
| Entity Type | Organization |
| Authorized Contact | EDWARD BURTON WALK President 617-965-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN11893) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |