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 |