| NPI | 1720063274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHUSTERMAN President 781-444-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 10350) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-08-22 |