| NPI | 1609970904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN A EICHNER President 781-329-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 20129) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 112480) |
| 1223E0200X Dentist, Endodontics (Licence: MA 113109) | |
| 1223E0200X Dentist, Endodontics (Licence: MA 19740) | |
| 1223E0200X Dentist, Endodontics (Licence: MA 20239) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |