NPI | 1578584413 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM PAPADOPOULOS Dentist Owner 617-738-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: MA 17508) |
Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: MA 13459) |
1223P0700X Dentist Prosthodontics (Licence: MA 17766) | |
Enumeration Date | 2006-07-23 |
Last Update Date | 2008-07-01 |