| NPI | 1790202448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. TRIANT President 617-923-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 11635) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |