| NPI | 1649799438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA MASIELLO Corporate Manager 617-591-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20416) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |