| NPI | 1669566519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T UBERTALLI Owner Partner 781-749-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 18143) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 19645) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |