| NPI | 1649557323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELKIS D DURAN Dentist/Owner 781-623-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 053352-1) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2020-03-04 |