| NPI | 1619427564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J NISHIMURA Owner 781-861-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15845) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |