| NPI | 1609169036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CATALANO Office Manager 508-822-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 15937) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |