| NPI | 1720152929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BETH FELTOON Owner Dentist 781-826-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 17285) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 12528) |
| 1223G0001X Dentist, General Practice (Licence: MA 17593) | |
| 1223G0001X Dentist, General Practice (Licence: MA 20805) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 17127) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-09-11 |