| NPI | 1609108588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R. HOROWITZ Owner 617-523-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 11544) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 12189) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |