| 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 |