| NPI | 1790957181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J. MYERS Dentist/Owner 781-963-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 13660) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |