| NPI | 1689797938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MATTHEW SKOLER President 617-770-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2010-09-01 |