| NPI | 1629430582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE GUERRIERO Treasurer 781-248-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16917) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |