| NPI | 1699012047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GABRIELA MARQUEZ Owner 978-443-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21147) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |