| NPI | 1801943394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE PIRNER Co Owner 781-356-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 18843) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 18729) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |