| NPI | 1790291664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F. MOYNIHAN Orthodontist 774-333-8080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18998) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |