| NPI | 1568919900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ALEXANDER WEISS Owner 617-731-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 8756) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |