| NPI | 1629277694 |
|---|---|
| Doing Business As | CHARLES RIVER DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TERESE R. PETERS Practice Manager 617-523-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 11308) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |