| NPI | 1770752974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA LUCIA RESTREPO Pediatric Dentist 1508-347-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 19602) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |