| NPI | 1689100943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY J GOLDBERG President 617-259-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 13336) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |