| NPI | 1821601170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH BROOKS Public Health Dental Hygienist 774-321-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |