| NPI | 1578551883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR FERTMAN President 781-272-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 9781) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |