NPI | 1770982985 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN GUZE President 617-721-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21851) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |