| NPI | 1770991572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P COGLIANO Dentist 617-872-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1855137) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |