| NPI | 1700057346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL E VILLACORTA President 781-891-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MA 18063) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |