| NPI | 1619230364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELLA BATSEVITSKY Manager/Owner 617-935-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DN1855136) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |