| NPI | 1730528670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRAYS SANTAMARIA Owner 617-437-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: MA 21076) |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-08-22 |