| NPI | 1699184010 |
|---|---|
| Other Name | WAKEFIELD CUSTOM DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANGELA KAROGIANNIS Dentist 617-504-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN20531) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |