| NPI | 1669485835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORBERT JAMES SHAY President 617-269-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 11025) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |