| NPI | 1598973406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GOODMAN President 781-784-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 17672) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |