| NPI | 1548097124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SHAW Director Of Revenue Cycle 781-562-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |