| NPI | 1790803997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BASKIES President 617-884-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14005) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |