| NPI | 1790144020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D DA SILVA Vice Dean 617-432-1434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DF11154) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |