| NPI | 1619003548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE H VENEDIKIAN President 781-393-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 18238) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |