| NPI | 1609993757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS CASTRO-BARRERA Owner 617-277-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 17964) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |