| NPI | 1679669717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD G UDLER President 617-735-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 11348) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |