| NPI | 1588133946 |
|---|---|
| Doing Business As | MIT DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN SCHUETZ Executive Director 617-258-6609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| 1223P0700X Dentist Prosthodontics | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-11-17 |