| NPI | 1649503962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELLA BONILLA CONNORS Owner 781-784-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 20376) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |