| NPI | 1780719849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E SULLIVAN President 781-769-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19254) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |