| NPI | 1750767059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DASILVA Vice Dean 617-432-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1857026) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |