| NPI | 1710475546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA M ALVARADO Orthodontist 508-815-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 1857505) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |