| NPI | 1629336383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS J. SAWAN Senior Partner 781-329-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN17296) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 12569) |
| 1223G0001X Dentist, General Practice (Licence: MA 19132) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-22 |