| NPI | 1700149598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN LENDER Dr. Lender/Owner 617-264-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA DN18692) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |