| NPI | 1700151776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J FIORILLO Owner/Dentist 617-927-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 20413) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |