NPI | 1598021156 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE R LANE Assistant Dean Clinical Operations 617-432-4276 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DL11500) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2012-04-09 |