| NPI | 1801164405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J MCNEIL Owner/Sole Member 781-245-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN14577) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |