| NPI | 1598720278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL VILLANI Owner 617-562-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 14635) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 16920) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |