| NPI | 1659828085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA SHEMANYUK General Dentist 617-325-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1856256) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |