| NPI | 1578612776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN V MCLAUGHLIN Owner 617-327-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 10212) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 10212) |
| 1223P0300X Dentist, Periodontics (Licence: MA 10212) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-17 |