| 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 |