| NPI | 1821356031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MONTANEZ Office Manager 978-374-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA 13010) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |