| NPI | 1790930154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATERINA RAFFA Pediatric Dentist 617-924-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 21040) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |