NPI | 1649043852 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN WILBUR Director Of Operations 617-877-9429 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223P0700X Dentist, Prosthodontics | |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-10-31 |