| NPI | 1770827479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E GONZALEZ Owner 617-523-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1855304) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |