| NPI | 1548387251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. CARAVOLAS Owner 781-647-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 14429) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |